| NPI | 1194109819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ0057410) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NP#26NJ00574100) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-05-23 |